Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CARDINAL FAMILY MEDICINE, LLC

NPI: 1023491008 · PORTLAND, OR 97213 · Health Service Clinic/Center · NPI assigned 07/08/2015

$11K
Total Medicaid Paid
209
Total Claims
189
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialPHAM, JOHN (PHYSICIAN/OWNER)
NPI Enumeration Date07/08/2015

Related Entities

Other providers sharing the same authorized official: PHAM, JOHN

ProviderCityStateTotal Paid
JOHN C PHAM DMD INC ROSEMEAD CA $578K
JOHN PHAM DMD INC ANAHEIM CA $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 209 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 76 66 $6K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 45 42 $5K
36415 Collection of venous blood by venipuncture 60 55 $119.16
81002 28 26 $66.14